- •PROGRESS IN BRAIN RESEARCH
- •List of Contributors
- •Preface
- •Epidemiology of primary glaucoma: prevalence, incidence, and blinding effects
- •Introduction
- •Prevalence of glaucoma
- •PAC suspect
- •PACG
- •Incidence of glaucoma
- •Blinding effects of glaucoma
- •Abbreviations
- •Acknowledgment
- •References
- •Predictive models to estimate the risk of glaucoma development and progression
- •Risk assessment in ocular hypertension and glaucoma
- •Risk factors for glaucoma development
- •Intraocular pressure
- •Corneal thickness
- •Cup/disc ratio and pattern standard deviation
- •The need for predictive models
- •Predictive models for glaucoma development
- •Predictive models for glaucoma progression
- •Limitations of predictive models
- •References
- •Intraocular pressure and central corneal thickness
- •Main text
- •References
- •Angle-closure: risk factors, diagnosis and treatment
- •Introduction
- •Mechanism
- •Other causes of angle closure
- •Risk factors
- •Age and gender
- •Ethnicity
- •Ocular biometry
- •Genetics
- •Diagnosis
- •Acute primary angle closure
- •Angle assessment in angle closure
- •Gonioscopy technique
- •Ultrasound biomicroscopy (UBM)
- •Scanning peripheral anterior chamber depth analyzer (SPAC)
- •Management
- •Acute primary angle closure
- •Medical therapy
- •Argon laser peripheral iridoplasty (ALPI)
- •Laser peripheral iridotomy (PI)
- •Lens extraction
- •Monitoring for subsequent IOP rise in eyes with APAC
- •Fellow eye of APAC
- •Chronic primary angle-closure glaucoma (CACG)
- •Laser peripheral iridotomy
- •Laser iridoplasty
- •Medical therapy
- •Trabeculectomy
- •Lens extraction
- •Combined lens extraction and trabeculectomy surgery
- •Goniosynechialysis
- •Summary
- •List of abbreviations
- •References
- •Early diagnosis in glaucoma
- •Introduction
- •History and examination
- •Quantitative tests and the diagnostic process
- •Pretest probability
- •Test validity
- •Diagnostic test performance
- •Posttest probability
- •Combing test results
- •Selective tests of visual function
- •Early glaucoma diagnosis from quantitative test results
- •Progression to make a diagnosis
- •Conclusions
- •Abbreviations
- •References
- •Monitoring glaucoma progression
- •Introduction
- •Monitoring structural damage progression
- •Monitoring functional damage progression
- •Abbreviations
- •References
- •Standard automated perimetry and algorithms for monitoring glaucoma progression
- •Standard automated perimetry
- •Global indices
- •HFA: MD, SF, PSD, CPSD
- •Octopus indices: MD, SF, CLV
- •OCTOPUS seven-in-one report (Fig. 2)
- •SAP VF assessment: full-threshold strategy
- •SAP VF defects assessment: OHTS criteria
- •SAP VF defects assessment: AGIS criteria
- •SAP VF defects assessment: CIGTS
- •Fastpac
- •Swedish interactive threshold algorithm
- •SAP VF assessment: the glaucoma staging system
- •SAP: interocular asymmetries in OHTS
- •SAP, VF progression
- •SAP: the relationship to other functional and structural diagnostic tests in glaucoma
- •SAP, FDP-Matrix
- •SAP, SWAP, HPRP, FDT
- •SAP: the relationship between function and structure
- •SAP, confocal scanning laser ophthalmoscopy, SLP-VCC
- •SAP, optical coherence tomography
- •SAP and functional magnetic resonance imaging
- •References
- •Introduction
- •Retinal ganglion cells: anatomy and function
- •Is glaucoma damage selective for any subgroup of RGCs?
- •Segregation
- •Isolation
- •FDT: rationale and perimetric techniques
- •SWAP: rationale and perimetric techniques
- •FDT: clinical data
- •SWAP: clinical data
- •Clinical data comparing FDT and SWAP
- •Conclusions
- •References
- •Scanning laser polarimetry and confocal scanning laser ophthalmoscopy: technical notes on their use in glaucoma
- •The GDx scanning laser polarimeter
- •Serial analysis
- •Limits
- •The Heidelberg retinal tomograph
- •Limits
- •Conclusions
- •References
- •The role of OCT in glaucoma management
- •Introduction
- •How OCT works
- •How OCT is performed
- •Evaluation of RNFL thickness
- •Evaluation of optic disc
- •OCT in glaucoma management
- •New perspective
- •Abbreviations
- •References
- •Introduction
- •Technology
- •Visual stimulation
- •Reproducibility and habituation of RFonh
- •Retinal neural activity as assessed from the electroretinogram (ERG)
- •The Parvo (P)- and Magno (M)-cellular pathways
- •Physiology
- •Magnitude and time course of RFonh in humans
- •Varying the parameters of the stimulus on RFonh
- •Luminance versus chromatic modulation
- •Frequency
- •Effect of pattern stimulation
- •Neurovascular coupling in humans
- •Clinical application
- •RFonh in OHT and glaucoma patients
- •Discussion
- •FLDF and neurovascular coupling in humans
- •Comments on clinical application of FLDF in glaucoma
- •Conclusions and futures directions
- •Acknowledgements
- •References
- •Advances in neuroimaging of the visual pathways and their use in glaucoma
- •Introduction
- •Conventional MR imaging and the visual pathways
- •Diffusion MR imaging
- •Functional MR imaging
- •Proton MR spectroscopy
- •References
- •Primary open angle glaucoma: an overview on medical therapy
- •Introduction
- •When to treat
- •Whom to treat
- •Genetics
- •Race
- •Ocular and systemic abnormalities
- •Tonometry and pachymetry
- •How to treat
- •Beta-blockers
- •Prostaglandins
- •Alpha-agonists
- •Carbonic anhydrase inhibitors (CAIs)
- •Myotics
- •Fixed combinations
- •References
- •The treatment of normal-tension glaucoma
- •Introduction
- •Epidemiology
- •Clinical features
- •Optic disk
- •Central corneal thickness
- •Disease course
- •Risk factors
- •Intraocular pressure
- •Local vascular factors
- •Immune mechanisms
- •Differential diagnosis
- •Diagnostic evaluation
- •Therapy
- •IOP reduction
- •Systemic medications
- •Neuroprotection
- •Noncompliance
- •Genetics of NTG
- •Abbreviations
- •References
- •The management of exfoliative glaucoma
- •Introduction
- •Epidemiology
- •Ocular and systemic associations
- •Ocular associations
- •Systemic associations
- •Pathogenesis of exfoliation syndrome
- •Mechanisms of glaucoma development
- •Management
- •Medical therapy
- •Laser surgery
- •Operative surgery
- •Future treatment of exfoliation syndrome and exfoliative glaucoma
- •Treatment directed at exfoliation material
- •References
- •Laser therapies for glaucoma: new frontiers
- •Background
- •Laser iridotomy
- •Indications
- •Contraindications
- •Patient preparation
- •Technique
- •Nd:YAG laser iridectomy
- •Argon laser iridectomy
- •Complications
- •LASER trabeculoplasty
- •Treatment technique
- •Mechanism of action
- •Indications for treatment
- •Contraindications to treatment
- •Patient preparation and postoperative follow-up
- •Complications of the treatment
- •Selective laser trabeculoplasty
- •Results
- •LASER iridoplasty
- •Indications
- •Contraindications
- •Treatment technique
- •Complications
- •LASER cyclophotocoagulation
- •Introduction
- •Indications and contraindications
- •Patient preparation
- •Transpupillary cyclophotocoagulation
- •Endoscopic cyclophotocoagulation
- •Transscleral cyclophotocoagulation
- •Transscleral noncontact cyclophotocoagulation
- •Transscleral contact cyclophotocoagulation
- •Complications
- •Excimer laser trabeculotomy
- •References
- •Modulation of wound healing during and after glaucoma surgery
- •The process of wound healing
- •Using surgical and anatomical principles to modify therapy
- •Growth factors
- •Cellular proliferation and vascularization
- •Cell motility, matrix contraction and synthesis
- •Drug delivery
- •Future directions: total scarring control and tissue regeneration
- •Acknowledgments
- •References
- •Surgical alternative to trabeculectomy
- •Introduction
- •Deep sclerectomy
- •Viscocanalostomy
- •Conclusions
- •References
- •Modern aqueous shunt implantation: future challenges
- •Background
- •Current shunts and factors affecting their function
- •Shunt-related factors
- •Surface area
- •Plate material
- •Valved versus non-valved
- •Commercially available devices
- •Comparative studies
- •Patient and ocular factors
- •Severity of glaucoma damage
- •Tolerance of topical ocular hypotensive medications
- •Aqueous hyposecretion
- •Previous ocular surgery
- •Scleral thinning
- •Patient cooperation for and tolerance of potential slit-lamp interventions
- •Future challenges
- •Predictability
- •Cataract formation
- •The long-term effect on the cornea
- •References
- •Model systems for experimental studies: retinal ganglion cells in culture
- •Mixed RGCs in culture
- •Retinal explants
- •Glial cultures
- •RGC-5 cells
- •Differentiation of RGC-5 cells
- •RGC-5 cell neurites
- •Advantages and disadvantages of culture models
- •References
- •Rat models for glaucoma research
- •Rat models for glaucoma research
- •Use of animal models for POAG
- •Suitability of the rat for models of optic nerve damage in POAG
- •Methods for measuring IOP in rats
- •General considerations for measuring IOP in rats
- •Assessing optic nerve and retina damage
- •Experimental methods of producing elevated IOP
- •Laser treatment of limbal tissues
- •Episcleral vein cautery
- •Conclusions
- •Abbreviations
- •Acknowledgements
- •References
- •Mouse genetic models: an ideal system for understanding glaucomatous neurodegeneration and neuroprotection
- •Introduction
- •The mouse as a model system
- •Mice are suitable models for studying IOP elevation in glaucoma
- •Tools for glaucoma research
- •Accurate IOP measurements are fundamental to the study of glaucoma
- •The future of IOP assessment
- •Assessment of RGC function
- •Mouse models of glaucoma
- •Primary open-angle glaucoma
- •MYOC
- •OPTN
- •Strategies for developing new models of POAG
- •Developmental glaucoma
- •Pigmentary glaucoma
- •Experimentally induced models of glaucoma
- •Mouse models to characterize processes involved in glaucomatous neurodegeneration
- •Similar patterns of glaucomatous damage occur in humans and mice
- •The lamina cribrosa is an important site of early glaucomatous damage
- •An insult occurs to the axons of RGCs within the lamina in glaucoma
- •What is the nature of the insult at the lamina?
- •Other changes occur in the retina in glaucoma
- •PERG and complement
- •Using mouse models to develop neuroprotective strategies
- •Somal protection
- •Axonal protection
- •Erythropoietin administration
- •Radiation-based treatment
- •References
- •Clinical trials in neuroprotection
- •Introduction
- •Methods of clinical studies
- •Issues in the design and conduct of clinical trials
- •Clinical trials of neuroprotection
- •Clinical trials of neuroprotection in ophthalmology
- •Endpoints
- •Neuroprotection and glaucoma
- •Conclusions
- •Abbreviations
- •References
- •Pathogenesis of ganglion ‘‘cell death’’ in glaucoma and neuroprotection: focus on ganglion cell axonal mitochondria
- •Introduction
- •Retinal ganglion cells and mitochondria
- •Possible causes for ganglion cell death in glaucoma
- •Mitochondrial functions and apoptosis
- •Mitochondrial function enhancement and the attenuation of ganglion cell death
- •Creatine
- •Nicotinamide
- •Epigallocatechin gallate
- •Conclusion
- •References
- •Astrocytes in glaucomatous optic neuropathy
- •Introduction
- •Quiescent astrocytes
- •Reactive astrocytes in glaucoma
- •Signal transduction in glaucomatous astrocytes
- •Protein tyrosine kinases (PTKs)
- •Serine/threonine protein mitogen-activated kinases (MAPKs)
- •G protein-coupled receptors
- •Ras superfamily of small G proteins
- •Astrocyte migration in the glaucomatous optic nerve head
- •Cell adhesion of ONH astrocytes
- •Connective tissue changes in the glaucomatous optic nerve head
- •Extracellular matrix synthesis by ONH astrocytes
- •Extracellular matrix degradation by reactive astrocytes
- •Oxidative stress in ONH astrocytes
- •Conclusions
- •Acknowledgments
- •References
- •Glaucoma as a neuropathy amenable to neuroprotection and immune manipulation
- •Glaucoma as a neurodegenerative disease
- •Oxidative stress and free radicals
- •Excessive glutamate, increased calcium levels, and excitotoxicity
- •Deprivation of neurotrophins and growth factors
- •Abnormal accumulation of proteins
- •Pharmacological neuroprotection for glaucoma
- •Protection of the retinal ganglion cells involves the immune system
- •Searching for an antigen for potential glaucoma therapy
- •Concluding remarks
- •References
- •Oxidative stress and glaucoma: injury in the anterior segment of the eye
- •Introduction
- •Oxidative stress
- •Trabecular meshwork
- •IOP increase and free radicals
- •Glaucomatous cascade
- •Nitric oxide and endothelins
- •Extracellular matrix
- •Metalloproteinases
- •Other factors of interest
- •Therapeutic and preventive substances of interest in glaucoma
- •Ginkgo biloba extract
- •Green tea
- •Ginseng
- •Memantine and its derivates
- •Conclusions
- •Abbreviations
- •References
- •Conclusions on neuroprotective treatment targets in glaucoma
- •Acknowledgments
- •References
- •Involvement of the Bcl2 gene family in the signaling and control of retinal ganglion cell death
- •Introduction
- •Intrinsic apoptosis vs. extrinsic apoptosis
- •The Bcl2 family of proteins
- •The requirement of BAX for RGC soma death
- •BH3-only proteins and the early signaling of ganglion cell apoptosis
- •Conclusion
- •Abbreviations
- •Acknowledgments
- •References
- •Assessment of neuroprotection in the retina with DARC
- •Introduction
- •DARC
- •Introducing the DARC technique
- •Annexin 5-labeled apoptosis and ophthalmoloscopy
- •Detection of RGC apoptosis in glaucoma-related animal models with DARC
- •Assessment of glutamate modulation with DARC
- •Glutamate at synaptic endings
- •Glutamate excitotoxicity in glaucoma
- •Assessment of coenzyme Q10 in glaucoma-related models with DARC
- •Summary
- •Abbreviations
- •Acknowledgment
- •References
- •Potential roles of (endo)cannabinoids in the treatment of glaucoma: from intraocular pressure control to neuroprotection
- •Introduction
- •The endocannabinoid system in the eye
- •The IOP-lowering effects of endocannabinoids
- •Endocannabinoids and neuroprotection
- •Conclusions
- •References
- •Glaucoma of the brain: a disease model for the study of transsynaptic neural degeneration
- •Retinal ganglion cells, retino-geniculate neurons
- •Lateral geniculate nucleus
- •Mechanisms of RGC injury in glaucoma
- •Transsynaptic degeneration of the lateral geniculate nucleus in glaucoma
- •Neural degeneration in magno-, parvo-, and koniocellular LGN layers
- •Visual cortex in glaucoma
- •Neuropathology of glaucoma in the visual pathways in the human brain
- •Mechanisms of glaucoma damage in the central visual pathways
- •Implications of central visual system injury in glaucoma
- •Conclusion
- •Acknowledgments
- •References
- •Clinical relevance of optic neuropathy
- •Is there a remodeling of retinal circuitry?
- •Behavioral consequences of glaucoma
- •Glaucoma as a neurodegenerative disease versus neuroplasticity and adaptive changes
- •Future directions
- •Acknowledgment
- •References
- •Targeting excitotoxic/free radical signaling pathways for therapeutic intervention in glaucoma
- •Introduction
- •Channel properties of NMDA receptors correlated with excitotoxicity
- •Downstream signaling cascades after overactivation of NMDA receptors
- •Relevance of excitotoxicity to glaucoma
- •Therapeutic approaches to prevent RGC death by targeting the pathways involved in NMDA excitotoxicity
- •Drugs targeting NMDA receptors
- •Kinetics of NMDA receptor antagonists
- •Memantine
- •NitroMemantines
- •Drugs targeting downstream signaling molecules in NMDA-induced cell death pathways
- •p38 MAPK inhibitors
- •Averting caspase-mediated neurodegeneration
- •Abbreviations
- •Acknowledgments
- •References
- •Stem cells for neuroprotection in glaucoma
- •Introduction
- •Glaucoma as a model of neurodegenerative disease
- •Why use stem cells for neuroprotective therapy?
- •Stem cell sources
- •Neuroprotection by transplanted stem cells
- •Endogenous stem cells
- •Key challenges
- •Conclusion
- •Abbreviations
- •Acknowledgments
- •References
- •The relationship between neurotrophic factors and CaMKII in the death and survival of retinal ganglion cells
- •Introduction
- •Glaucoma and the RGCs
- •Are other retinal cells affected in glaucoma?
- •Retinal ischemia related glaucoma
- •Excitotoxicity and the retina
- •Signal transduction
- •NMDA receptor antagonists and CaMKII
- •Caspase-3 activation in NMDA-induced retinal cell death and its inhibition by m-AIP
- •BDNF and neuroprotection of RGCs
- •Summary and conclusions
- •Abbreviations
- •Acknowledgments
- •References
- •Evidence of the neuroprotective role of citicoline in glaucoma patients
- •Introduction
- •Patients: selection and recruitment criteria
- •Pharmacological treatment protocol
- •Methodology of visual function evaluation: electrophysiological examinations
- •PERG recordings
- •VEP recordings
- •Statistic evaluation of electrophysiological results
- •Electrophysiological (PERG and VEP) responses in OAG patients after the second period of evaluation
- •Effects of citicoline on retinal function in glaucoma patients: neurophysiological implications
- •Effects of citicoline on neural conduction along the visual pathways in glaucoma patients: neurophysiological implications
- •Possibility of neuroprotective role of citicoline in glaucoma patients
- •Conclusive remarks
- •Abbreviations
- •References
- •Neuroprotection: VEGF, IL-6, and clusterin: the dark side of the moon
- •Neuroprotection: VEGF-A, a shared growth factor
- •VEGF-A isoforms
- •VEGF-A receptors
- •Angiogenesis, mitogenesis, and endothelial survival
- •Neurotrophic and neuroprotective effect
- •Intravitreal VEGF inhibition therapy and neuroretina toxicity
- •Neuroprotection: clusterin, a multifunctional protein
- •Clusterin/ApoJ: a debated physiological role
- •Clusterin and diseases
- •Clusterin and the nervous system
- •Neuroprotection: IL-6, VEGF, clusterin, and glaucoma
- •Rational basis for the development of coenzyme Q10 as a neurotherapeutic agent for retinal protection
- •Introduction
- •Ischemia model
- •Neuroprotective effect of Coenzyme Q10 against cell loss yielded by transient ischemia in the RGC layer
- •Retinal ischemia and glutamate
- •Coenzyme Q10 minimizes glutamate increase induced by ischemia/reperfusion
- •Summary
- •Acknowledgment
- •References
- •17beta-Estradiol prevents retinal ganglion cell loss induced by acute rise of intraocular pressure in rat
- •Methods
- •Morphometric analysis
- •Microdialysis
- •Drug application
- •Statistical analysis
- •Results
- •17beta-Estradiol pretreatment minimizes RGC loss
- •Discussion
- •Acknowledgment
C. Nucci et al. (Eds.)
Progress in Brain Research, Vol. 173
ISSN 0079-6123
Copyright r 2008 Elsevier B.V. All rights reserved
CHAPTER 20
Model systems for experimental studies: retinal ganglion cells in culture
Emilie Goodyear1 and Leonard A. Levin1,2,
1Department of Ophthalmology, University of Montreal, Montreal, Canada 2Department of Ophthalmology and Visual Sciences, University of Wisconsin, Madison, USA
Abstract: Glaucomatous optic neuropathy is the most common optic nerve disease. The mechanisms by which retinal ganglion cells (RGCs) die in glaucoma are becoming better understood, but are still poorly defined. Elucidating the pathways that connect risk factors for glaucoma (e.g., elevated intraocular pressure) and RGC death is difficult in patients because of ethical and practical constraints. Even in experimental animals, single-cell observations and cell–cell interactions can be tricky to tease apart. For these reasons, it is helpful to use cell and tissue culture models for studying RGCs and other cellular constituents of the optic nerve. This chapter describes the advantages and disadvantages of several commonly used methods for preparing and studying these cultures, including those most relevant to glaucomatous optic neuropathy.
Keywords: retinal ganglion cells; optic neuropathy; glaucoma; cell culture
The human retina is composed of nine different layers. The innermost layers contain the retinal ganglion cells (RGCs) and their axons in the ganglion cell layer and the nerve fiber layer, respectively. RGCs receive afferents from bipolar and amacrine cells and transmit efferents via action potentials to the brain, specifically the lateral geniculate nucleus, the superior colliculus, the pretectal nuclei, and the suprachiasmatic nucleus.
Optic neuropathies are diseases of the RGC and its axon. The most common optic neuropathy is glaucoma. Optic nerve diseases can be studied in vitro and in vivo using experimental models that range greatly in their applicable to glaucomatous optic neuropathy. There is an approximate hierarchy of models (Fig. 1), where the models higher
Corresponding author. Tel.: +1 514 252 3400; Fax: +1 514 251 7094
in hierarchy present an increased similarity to human optic neuropathies and the models lower in the pyramid allow better determination of the mechanisms responsible for the disease. This chapter discusses in vitro methods for studying RGCs (Levin, 2005). There are several types of culture models used for studying the pathophysiology of RGCs: (1) dissociated retinal cells, where the RGCs are either mixed with other cells or identified by labeling; (2) RGCs purified either by immunoaffinity techniques or differential centrifugation;
(3) retinal explants; (4) glial and other supporting cell cultures; and (5) RGC-like cell lines.
Mixed RGCs in culture
For mixed primary retinal cultures, neonatal or adult retinas can be dissociated enzymatically and maintained in culture for up to several weeks.
DOI: 10.1016/S0079-6123(08)01120-5 |
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Fig. 1. In vitro and in vivo models of glaucoma can be viewed in a hierarchical pyramid, with the models at the top of the pyramid being more similar to the human disease, but less helpful in studying pathophysiology because of their complexity and experimental limitations. Models toward the bottom of the pyramid do not share clinical features of human glaucoma, but are more useful for studying mechanisms and screening potential therapies (Levin, 2005).
Thy-1. This methodology was first used by Barres using panning techniques (Barres et al., 1988), and it is the most commonly used method for studying isolated RGCs in vitro. Subsequently, other methods for purification have been developed, including the use of magnetic beads (Tezel and Wax, 2000).
Purified RGC cultures offer the advantage of studying the RGC in isolation without the effects of interactions with other cell types in the retina. RGC purity can be 95% or greater. However, the purification process requires exposure of RGC to antibodies to Thy-1, which might have biologic effects. Growth factors are typically used to maintain long term survival, for up to several weeks (Meyer-Franke et al., 1995).
RGCs can then be identified by different techniques. The most commonly used is retrograde labeling with a fluorescent dye. RGC can also be identified by immunolabeling against Thy-1 or Brn-3 (Leifer et al., 1984; Garcia et al., 2002; Leahy et al., 2004) or by using an RGC-specific promoter to drive a reporter gene if cultured from a transgenic animal (Feng et al., 2000). This type of culture allows the observation of interactions among a variety of cell types and the RGC because the diversity is maintained. However, the anatomic arrangement of the retina is not maintained. Axotomy is also inherent to this model because the optic nerve is cut when the eye is taken from the animal, and then the proximal RGC axon is cut when the retina is enzymatically dissociated. Survival is typically short as growth factors are typically not used besides those contained in serum.
Purified ganglion cells
In purified RGC cultures, enzymatic dissociation is performed and then the RGCs are isolated from other retinal neurons via immunoselection. Macrophages are typically removed first with antibodies followed by antibodies to the cell surface marker
Retinal explants
Retinal explant cultures can be made by dissection of whole retinas into small pieces (Smalheiser et al., 1981). The explant allows the maintenance of cellular diversity and anatomic arrangements. The injury effects of dissociation are avoided, but axotomy is still present, although not as close to the cell body as with cell dissociation.
A commonly used technique for explants was first used to demonstrate that RGC neurites from both embryonic and adult mice can grow on laminin, but adding antibodies to the b1/b3 integrin blocked the laminin-dependent growth on embryonic optic fibers only (Bates and Meyer, 1997). Subsequent studies from several laboratories have established the use of this technique for assessing neurite extension from RGCs (Bahr et al., 1988; Manabe et al., 2002), measuring RGC survival (Turner, 1985; Fischer et al., 2000; Xin et al., 2007), and studying RGC differentiation (Wang et al., 2002).
Glial cultures
Glial and other supporting cell types have also been used in culture. Retinal astrocytes and Mu¨ller cells can be cultured to varying degree of purity
as can optic nerve head lamina cribrosa cells (Hernandez et al., 1988).
These different cell populations can be studied with respect to neurotrophin secretion (Lambert et al., 2001), uptake of glutamate (Kawasaki et al., 2000), induction of injury signals (Neufeld et al., 1997), and other interactions with retinal neurons.
RGC-5 cells
The RGC-5 cell line is a transformed retinal ganglion cell. It was derived by transforming postnatal day 1 rat retinal cells by Krishnamoorthy et al. (2001). This cell line expresses neuronal markers’ characteristic of RGCs such as Thy-1, Brn-3, neuritin, synaptophysin, NMDAR1, and GABAB receptors. These cells are serumand neurotrophin-dependent. They do not express the astrocyte marker GFAP.
A great advantage of using these cells is that they are uniform in phenotype, allowing good repeatability of experiments. Also, as a dividing cell line, they are in principle of limitless availability. However, a disadvantage is that these cells are mitotically active and are therefore phenotypically different from a normal postmitotic RGC. In addition, RGC-5 cells are morphologically more similar to glial cells in culture than to primary RGC, and do not express the repertoire of ion channels characteristic of RGCs.
Differentiation of RGC-5 cells
RGC-5 cells can be treated with agents that differentiate them. Differentiation with succinyl concanavalin A (sConA) makes RGC-5 cells sensitive to glutamate toxicity. This glutamate excitotoxicity is blocked by NMDA antagonists (Krishnamoorthy et al., 2001). However, RGC-5 cells differentiated with sConA do not assume a neuronal morphology, nor is proliferation halted.
Treatment of RGC-5 cells with the broadspectrum protein kinase inhibitor staurosporine also differentiates them, but in a different way (Frassetto et al., 2006). The mechanism by which staurosporine induces RGC-5 cell differentiation is
281
different from staurosporine differentiation of other cell types. It is unlikely to be a result of apoptosis because staurosporine, a known apoptosis inducer, does not activate apoptotic cascade in RGC-5 cells. This is an important distinction because differentiation resulting in apoptosis would not be useful for studying RGC pathophysiology. Staurosporine induces RGC-5 cells to differentiate, express neurites, and become postmitotic. Staurosporine also induces electrophysiological changes that are in the same direction as mature RGC because both cells have large voltagegated conductance.
Staurosporine-differentiated RGC-5 cells differ in significant ways from primary cultured RGCs. Staurosporine differentiation is transcription independent and results in cells that are viable in the absence of any neurotrophic factor support, unlike normally differentiated RGCs. Neurotrophic factor dependence would be a necessary component for reproducing functional connectivity of neurons to the central nervous system, which is the goal of in vivo application of neuronal stem cells.
A third method of differentiation is with histone deacetylase (HDAC) inhibition. We have studied the relation between histone acetylation and the differentiation and survival of RGC-5 cells and compared it with the transcription-independent differentiation induced by staurosporine (Schwechter et al., 2007). Trichostatin (TSA) is a potent, specific, and well-characterized class 1 and class 2 HDAC inhibitor. TSA causes significant differentiation and neuritogenesis in RGC-5 cells. Differences between HDAC inhibition and staurosporine differentiation include the proportion of differentiated cells, cell viability, cell morphology, and transcriptional dependence. Also, treatment of RGC-5 cells with TSA resulted in RGC-5 cells that are neurotrophic factor dependent, unlike cells treated with staurosporine. Interestingly, HDAC inhibition also increases the sensitivity of RGC-5 cells to differentiation by very low concentrations of staurosporine (Schwechter et al., 2007).
Although not strictly a fourth method of differentiation, Harvey and Chintala studied the effect of plasminogen activators and their inhibition on staurosporine-treated RGC-5 cells (Harvey and Chintala, 2007). Plasmin aids in the
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elongation process of newly formed neurites by degrading the extracellular matrix. Plasminogen activators convert plasminogen to plasmin. However, under certain circumstances, plasminogen activators promote cell death. Undifferentiated RGC-5 cells do not express the plasminogen activators, tPA and uPA. When treated with staurosporine, RGC-5 expression of those two plasminogen activators is observed. At a high staurosporine concentration, there is an increase in tPA and uPA, but there is also an increase in cell death and shorter neurites. When RGC-5 cells are treated with staurosporine and plasminogen activator inhibitors, there is a decrease in plasminogen activator proteolytic activity and cell death, and an increase in neurite outgrowth. Thus, differentiation of RGC-5 cells with staurosporine induces the expression of tPA and uPA, and these plasminogen activators cause RGC-5 death. By inhibiting this process, the neuritic tree can be stabilized and survival enhanced (Harvey and Chintala, 2007).
RGC-5 cell neurites
Much work has been done to characterize the factors guiding axonal pathfinding in RGCs to appropriate sites in the brain (Oster et al., 2004). Studies have also characterized factors controlling the formation of the dendritic arbor and its stratification in the retina during development, including cell density (Troilo et al., 1996) and neurotrophin levels (Lom et al., 2002). However, none of these studies monitored neurite development over time in a single RGC. Purified RGCs have been cultured and their neurite outgrowth has been studied intensively, but these cells have undergone injury to their existing neuritis in the process of purification.
RGC-5 cells express what appears to be axon and dendrites (Lieven et al., 2007). Microtubuleassociated proteins are a family of proteins responsible for microtubule stabilization and organization. Microtubule-associated protein 2 (MAP2) is particularly involved in cytoskeletal changes associated with neuronal differentiation (Caceres et al., 1986). MAP2 exists in several isoforms, the most prevalent being MAP2a,
MAP2b, and MAP2c. MAP2a and MAP2b are present in dendrites of mature neurons (Bernhardt and Matus, 1984). MAP2c is present in developing neurons (Meichsner et al., 1993) but not in mature neurons. Tau is another microtubule-associated protein expressed in differentiated neurons, expressed exclusively in the axon in vivo (Binder et al., 1985) and in the soma of cultured cells. The expression of tau characteristically presents as a gradient, with greater amounts at the distal axon (Kempf et al., 1996). Growth-associated protein 43 (GAP43) is neuronal protein expressed in neurite growth cones, specifically those of axons (Goslin et al., 1988).
Our studies confirmed MAP2c expression in some neurites of staurosporine-treated RGC-5 cells. The expression of GAP43 in growth cones and the presence of a tau gradient confirm the development of axons and the establishment of neuronal polarity in these cells. However, the use of staurosporine-differentiated RGC-5 cells as a model for neurite formation in RGCs has potential shortcomings. It is unclear whether this staurosporine differentiation program is similar to what occurs during differentiation of primary RGCs. Also, the number of axons is low (Lieven et al., 2007).
Advantages and disadvantages of culture models
The processes studied with cell culture models appear to be so distinct from those associated with optic neuropathies as to make them less helpful for studying disease. Yet there are many features of cell culture that cannot be replicated in animal models. In cell culture models, there is an ability to control a cell’s exposure to specific chemical factors, drugs, interactions with different cell types, and changes in the extracellular milieu. Multiple conditions can be studied in parallel within the same experiment when it would be near impossible to do so in situ within an animal’s eye. Results of those studies may sometimes be extrapolated to in vivo conditions; identification of brain-derived neurotrophic factor (BDNF) as a survival factor for cultured RGCs is a good example.
